Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antietam Pediatric and Adolescent Care, LLC

Organization Pediatric Adolescent Medicine Physician · NPI 1780627810

Antietam Pediatric and Adolescent Care, LLC is a Pediatric Adolescent Medicine Physician in Hagerstown, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1161 Omega Dr
Hagerstown, MD 21740-5574
Phone: (301) 393-2600
Fax: (210) 393-2614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X (MD)

Record details

NPI number1780627810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leon Weaver — Partner · (301) 393-2600
NPI enumeratedJune 14, 2006
Last updated in NPPESJuly 21, 2022
Mailing address1161 Omega Dr, Hagerstown, MD 21740-5574

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